• Baseline photos will be taken. Please come dressed with standard bra and underwear underneath.
• Medications will be prescribed.
• We review treatment expectations, prep, and aftercare.
• Measurements for compression garments will be taken.

1-2 weeks before treatment:

• Arrange escort: This person will be assuming responsibility for you and cannot be a bus, taxi, or uber/lyft. It’s also helpful to have someone stay with you and assist you for the first night if possible.
  Fill prescriptions: Prescriptions will be given at pre-op visit. Fill these before treatment day.
• Antibiotic
• Anti-anxiety medication
• Anti-nausea medication
• Pain relief medication
• Also purchase a package of absorbent pads, non-prescription. (example: Kotex pads)
• Avoid any alcoholic beverages 2-4 days leading up to the procedure. 

Day Before treatment:

• Start taking your antibiotic as instructed by your physician.
• Prepare home: Older sheets, pillowcases and bedding on bed.

The morning of treatment:

• Eat a light meal.
• Wear a button-up shirt so you can put a gown on for the procedure and not have to pull a shirt over your head. If possible, wear a dark, used button-up that you are okay possibly getting stains on.

2 hours before treatment:

• Take 1 of your sedative medication as directed by your physician.
• Bring all medications with you to your procedure.
• Bring a few old but clean towels for your car ride home from the treatment, or consider a shower curtain for the car seat.

Going Home & Diet

• You will require a driver to take you home from the office.
• Drape clean, old towels or rags on your car seat to avoid any drainage or staining.
• Resume your usual diet upon returning home.
• Drink adequate amounts of fluids to prevent dehydration.
• Avoid any alcoholic beverages for the first 48-72 hours following procedure.
• Continue oral antibiotic until prescription is finished. Take with food.
• Take antinausia and pain medications as directed by physician.

Activities:

• Rest is recommended immediately after surgery. Avoid any driving, operating machinery, or important personal decisions within first 24 hours.
• Later in the day you may take a short walk, if desired.
• Feeling faint is not uncommon in the days following liposuction. Take care to prevent fainting by removing compression garments slowly, one at a time, resist standing up quickly, and consider having help nearby while showering or using the bathroom during the first 24 hours after your procedure.
• You may carefully resume exercise and vigorous physical activity 2-4 days after surgery. It is suggested you start at 25% of your normal workload then increase as tolerated.
• You may return to a desk job in 2-3 days following procedure, although one must expect to be sore and easily fatigued for several days.

Compression Garments:

• You will have swelling after liposuction.
  Following tumescent liposuction postoperative garments (two sets of garments + one elastic binder) are worn.
• We will provide the compression garments for your procedure.
• Initial wrapping and compression done after your procedure should be worn and not taken off until the following morning.
• The following morning, remove compression garments and wash them. You may feel lightheaded or dizzy the first time removing garments. Lie down if this occurs. It may help to remove binder and wait 10 minutes prior to removing second garment. While garments are washing take a shower daily (below).
• You will wear both compression garments until all drainage has stopped + an additional 24 hours of no drainage.
• Once this occurs, STOP wearing the outmost garment or binder. You may continue wearing the first garment but this is only for your comfort, you may continue to wear it as long as you would like.
• Temporary firmness and lumpiness is not uncommon in the weeks after liposuction. If it does occur, it is typically noticed 1-2 weeks after surgery and becomes most prominent and tender 2-4 weeks after surgery. Continued light compression can help alleviate the discomfort when this happens. Time will also improve these symptoms.

Post Op Draining:

• Expect a large amount of blood-tinged anesthetic solution to drain from the small incisions during the first 24-48 hours following the procedure.
• For the first 24-36 hours, bulky superabsorbent dressings should be worn under the compression garments and directly over the incision sites.
• Do not cover draining sites with Band-Aids.
• Apply new absorbent pads every time you shower, 1-2x daily.
• Only incisions that have stopped draining for more than 24, should be covered with Vaseline and a bandage:

Post Op Draining:

• Wait 48 hours before the first shower.
• Keep incision sites clean, shower 1-2x daily.
• First, wash your hands, then wash the incisions gently with soap and water. Pat dry with a towel.
• Avoid: icing or heating of the area, hydrogen peroxide or plastic Band-Aids to incision sites, soaking in a bath, Jacuzzi, or swimming pool for 7 days following the procedure.
• Take your prescribed pain medication or over-the-counter Tylenol every 4 hours as needed. Avoid any ibuprofen or aspirin.

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